FDA Adverse Event Malfunction Summary report: N

9900

MDR report key: 3162045 · Received June 6, 2013

Report

Report Number
1720753-2013-06797
Event Type
Malfunction
Date Received
June 6, 2013
Date of Event
May 29, 2013
Report Date
June 6, 2013
Manufacturer
GE OEC MEDICAL SYSTEMS (SLC)
Product Code
JAA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE HIGH VOLTAGE TANK AND SNUBBER BOARD WERE REPLACED, AND A FILAMENT CALIBRATION WAS PERFORMED. THE SYSTEM WAS THEN FOUND TO BE OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE SYSTEM DISPLAYED AN OVERLOAD FAULT ERROR MESSAGE. THIS ERROR MESSAGE WILL LIKELY RESULT IN A SYSTEM SHUT DOWN. THERE IS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
251559 9900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9900

Patients

Seq Age Sex Outcome Treatment
1